How do I receive care?
Make and appointment with a Dentist Direct provider and present your card at the time of service. After you receive care, you will be responsible to pay your provider according to the dental plan you are enrolled in.
What if my dentist is not on the panel?
Most Dentist Direct plans offer in and out-of-network benefits. However, you generally pay less when visiting a network provider. Please carefully consult your plan description before making an appointment.
Patients typically spend less when receiving
care from a network provider. However, if you
are pleased with your current dental provider
and would like him/her to be considered for
membership on the Dentist Direct panel, please
complete the information under the "Refer a
Provider" link.
Who do I call with a question about a claim?
Claim inquiries call toll-free (866) 696-6527 or fax (801) 299-8365.
Where do I send my claims?
If necessary, submit any claims to:
Dentist Direct
P.O. Box 5000
Springville, UT 84663-5000
Who do I call to find out if a procedure is covered under my plan?
For eligibility and benefit verification call (866) 696-6527.
How do I add employees or dependants to the plan?
Current employees and dependants may enroll in Dentist Direct during the open enrollment period. Dependants may also enroll within 30 days of a qualifying event such as: marriage; divorce or legal separation; birth of a child or adoption of a child; new employment; or death of insured.
How often can I receive routine exams and cleanings under my plan?
Routine exams and cleanings are eligible for coverage twice a year.
How can I obtain more information on HIPAA?
Additional information on HIPAA can be accessed through the following links:
US Department of Health & Human Services
Center for Medicaid Services
|
